Meconium ileus: is a stoma necessary?

Abstract:

:During the 15 years from 1970 to 1984, 38 infants, all with cystic fibrosis, were treated for meconium ileus at The Montreal Children's Hospital and Ste-Justine Hospital for Children. Thirteen patients (34%) had complicated meconium ileus that included 7 perforations (2 colon, 5 ileum), 4 volvulus, and 2 atresia with meconium pseudocyst. In this group, various operations were done: resection with primary anastomosis for atresia, or resection with enterostomy for peritonitis or volvulus. One died shortly after surgery. Of 25 patients with uncomplicated meconium ileus (66%), one died shortly after arrival from respiratory distress, leaving 24 patients available for study. Gastrografin enema was attempted on 20 patients with eight successes (40%). Of the remaining 16 patients with unresolved meconium ileus, nine were treated with laparotomy and ileostomy, and one with laparotomy and T-tube irrigation. Six patients were treated by laparotomy and enterotomy for irrigation with N-acetylcysteine and evacuation by Fogarty catheter, a technique not widely used. No one succumbed in this group. This latter method of management is recommended for patients with simple uncomplicated meconium ileus.

journal_name

J Pediatr Surg

authors

Nguyen LT,Youssef S,Guttman FM,Laberge JM,Albert D,Doody D

doi

10.1016/s0022-3468(86)80362-1

subject

Has Abstract

pub_date

1986-09-01 00:00:00

pages

766-8

issue

9

eissn

0022-3468

issn

1531-5037

pii

S0022346886002701

journal_volume

21

pub_type

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